Clinical outcomes for the obese hospital inpatient: An observational study.

Autor:	Fusco KL; Discipline of Medicine, The University of Adelaide, Adelaide, SA, Australia.; Royal Adelaide Hospital, Adelaide, SA, Australia., Robertson HC; Royal Adelaide Hospital, Adelaide, SA, Australia.; Workforce Health, SA Health, Adelaide, SA, Australia., Galindo H; Workforce Health, SA Health, Adelaide, SA, Australia., Hakendorf PH; Clinical Epidemiology, Flinders Medical Centre, Bedford Park, SA, Australia., Thompson CH; Discipline of Medicine, The University of Adelaide, Adelaide, SA, Australia.; Royal Adelaide Hospital, Adelaide, SA, Australia.
Jazyk:	angličtina
Zdroj:	SAGE open medicine [SAGE Open Med] 2017 Mar 23; Vol. 5, pp. 2050312117700065. Date of Electronic Publication: 2017 Mar 23 (Print Publication: 2017).
DOI:	10.1177/2050312117700065
Abstrakt:	Objectives: The prevalence of obesity presents a burden for Australian health care. The aim of this study was to determine whether severely obese hospital inpatients have worse outcomes. Methods: This is an observational cohort study, using data from all adult patients admitted to hospital for all elective and emergency admissions of patients aged over 18 years to two large Australian urban hospitals. We measured their length of stay, intensive care unit admission rate, intensive care unit length of stay, mortality and readmission rates within 28 days of discharge and compared these outcomes in the severely obese and non-severely obese subjects using t-test or chi-square test as appropriate. Results: Between February 2008 and February 2012, 120,872 were admitted to hospital 193,800 times; 2701 patients were identified as severely obese (2.23%) and 118,171 patients were non-severely obese. If admitted as an emergency, severely obese patients have worse outcomes and consume more resources than other patients. These outcomes are still worse, but less so, if the obese patient is admitted as an elective patient suggesting that anticipation of any obesity-specific problems can have a beneficial effect. Conclusion: Upon admission or discharge of severely obese hospital inpatients, health care plans should be even more carefully laid than usual to reduce the risk of readmission. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu